| NPI | 1396331757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61091119) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 104100000X Social Worker | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2022-06-22 |